Life Span Psychological Services PC

NPI #1912958356 in Willow Street, Pennsylvania

Provider Information

NPI Number: 1912958356
Entity Type: Organization
Organization Name: Life Span Psychological Services PC
Primary Specialty: Psychologist - Clinical
Enumeration Date: May 12, 2006
Last Updated: Sep 11, 2025

Practice Location

Address: 28190 WILLOW ST PK
City: Willow Street
State: Pennsylvania
ZIP Code: 17584
Phone: (717) 464-1464

Authorized Official

Name: DR. LYNNETTE G RUCH, PHD
Title: PHD
Phone: (717) 464-1464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker	104100000X
Social Worker - Clinical — Clinical	1041C0700X
Counselor - Professional — Professional	101YP2500X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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